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Quiz Session - Attempts With Random Questions

ANCC NE-BC Exam Questions

Page 9 of 20

161.

To improve patient experience, a nurse executive decides to implement a new policy requiring all clinical staff to undergo cultural competency training. What is the primary goal of this initiative?

  • To enhance the ability to provide care for patients with diverse backgrounds.

  • To comply with federal healthcare regulations.

  • To reduce the hospital's legal liabilities.

  • To be able to promote the hospital as culturally inclusive and caring.

Correct answer: To enhance the ability to provide care for patients with diverse backgrounds.

The primary goal is to ensure that care is respectful and sensitive to the cultural needs of diverse patient populations, thus improving patient experience.

While compliance with regulations is important, it is not the primary goal of cultural competency training. Reducing legal liabilities may be a benefit, but the initiative's main goal is to improve patient care quality. Marketing talking points are not as important as enhancing the quality of care through cultural competency.

162.

When a nurse executive needs to communicate a significant organizational policy change, which method ensures the message is accurately and effectively conveyed to all nursing staff?

  • Using a cascading communication method, starting with department leaders.

  • Posting a notice in the staff break room.

  • Sending a detailed memo via email to all staff.

  • Meeting with each nurse individually to communicate the policy change.

Correct answer: Using a cascading communication method, starting with department leaders.

A cascading communication method ensures the message is personalized and reinforced through various levels of leadership, enhancing clarity and compliance.

Posting a notice may not reach all staff, especially those on leave. While email is direct, it may not ensure understanding or provide an opportunity for questions. Meeting with each nurse individually may facilitate clear communication but it is not practical at an organizational level.

163.

In evaluating a new predictive analytics tool for early sepsis detection, which feature is most crucial for a nurse executive to consider?

  • The ability to integrate multiple data sources.

  • The tool's user interface design and ease of use by clinicians.

  • Compatibility with hospital monitoring equipment.

  • The frequency of software updates that integrate current evidence-based practices.

Correct answer: The ability to integrate multiple data sources.

Integrating multiple data sources is key to accurately identifying early signs of sepsis, enabling timely interventions.

While important for usability, the user interface design is less critical than the tool’s integration of data to complete analyses in a timely manner. Compatibility with monitoring equipment is useful but not as crucial as the ability to integrate diverse clinical data for early sepsis detection. Software update frequency is important for maintaining the tool but secondary to its data integration capabilities.

164.

A nurse executive is reviewing the hospital's response plan for a bioterrorism event. Which of the following actions is most crucial for the plan to address?

  • Identification of isolation rooms for affected patients.

  • Establishment of a public information hotline.

  • Immediate vaccination of all hospital staff.

  • Coordination with local law enforcement agencies.

Correct answer: Identification of isolation rooms for affected patients.

Identifying isolation rooms and a way to quarantine those affected is crucial to contain the spread of infectious agents and protect patients, staff, and the community.

While communication with the public is important, it does not address the immediate need to prevent the spread of infection. Additionally, communication with the public is better coordinated between multiple emergency services, not just the hospital. Immediate vaccination is premature without identifying the bioterrorism agent and its specific countermeasures. Coordination with law enforcement is important for security and investigation but secondary to immediate patient care needs.

165.

In which reimbursement model are healthcare providers reimbursed for each service provided to patients, incentivizing an increase in the volume of services rendered?

  • Fee-For-Service (FFS)

  • Value-Based Purchasing

  • Capitation

  • Bundled Payments

Correct answer: Fee-For-Service (FFS)

Fee-For-Service (FFS) models reimburse for each individual service, which may encourage providers to increase the volume of services rendered.

Value-based purchasing incentivizes providers based on the quality of care and outcomes, not the volume of services. Capitation pays a set amount for each patient covered under the plan, regardless of the number of services provided. Bundled payments provide a single payment for all services related to a specific episode of care, not for each service rendered.

166.

A nurse executive is concerned about the lack of teamwork and collaboration in a nursing team, which has led to fragmented care and patient dissatisfaction. Which intervention is most likely to foster a culture of teamwork and improve patient outcomes?

  • Organizing team-building activities that focus on collaboration and communication.

  • Conducting individual conversations that highlight the importance of teamwork.

  • Increasing the nurse-to-patient ratio to reduce workload pressure.

  • Implementing a competitive reward system based on individual performance metrics.

Correct answer: Organizing team-building activities that focus on collaboration and communication.

Organizing team-building activities that focus on collaboration and communication directly addresses the need to enhance teamwork and can lead to improved cohesion and patient care.

Conducting individual reviews is important but is unlikely to directly promote teamwork. Increasing the nurse-to-patient ratio may alleviate workload pressure, but it doesn’t address the underlying teamwork issues. A competitive reward system could undermine teamwork by emphasizing individual over team performance.

167.

A nurse executive has overseen a successful research project on reducing patient falls in the hospital. Which of the following dissemination strategies would be most effective in ensuring the findings are integrated into nursing practice across the facility?

  • Conducting in-service training sessions for nursing staff.

  • Publishing the results in a peer-reviewed nursing journal.

  • Presenting the findings at a local nursing conference.

  • Posting the summary of the findings on the hospital's internal website.

Correct answer: Conducting in-service training sessions for nursing staff.

In-service training directly targets internal nursing staff, facilitating immediate application of the research findings into practice.

Publishing results is valuable for the broader nursing community but may not reach all nursing staff directly involved in patient care within the specific facility being targeted. Presenting at a conference is beneficial for professional recognition but is not guaranteed to reach or impact all internal staff. While posting on an internal website makes the information accessible, it is less likely to ensure engagement or application without active learning components.

168.

Which change management framework emphasizes the importance of creating a sense of urgency as the first step in the change process?

  • Kotter's 8-Step Change Model

  • Lewin's Change Theory

  • The McKinsey 7-S Model

  • The ADKAR Model

Correct answer: Kotter's 8-Step Change Model

Kotter's 8-Step Change Model begins with creating a sense of urgency to help others see the need for change and to spur them into action.

Lewin's Change Theory identifies three main stages: unfreezing, changing, and refreezing, without specifically emphasizing urgency. The McKinsey 7-S Model focuses on seven internal elements that need to be aligned for a change to be successful; it does not specifically focus on creating urgency. The ADKAR Model focuses on awareness, desire, knowledge, ability, and reinforcement for change; it does not start with a sense of urgency.

169.

A nurse executive wants to improve patient experiences in a clinic that serves a diverse population. Which strategy would be most effective in meeting the varied cultural needs of patients?

  • Developing a cultural competence training program for all staff.

  • Translating clinic signage and materials into the two most commonly spoken languages among patients.

  • Scheduling annual diversity appreciation events for staff and patients.

  • Encouraging dependence on visual diagrams in patient education materials to overcome language barriers.

Correct answer: Developing a cultural competence training program for all staff.

A comprehensive cultural competence training program equips staff with the knowledge and skills to effectively interact with and meet the diverse needs of patients, improving their experiences.

While translating signage and education materials helps, it does not comprehensively address the broader cultural needs and nuances of patient care. This approach also fails to include patients whose needs fall outside of the two most commonly spoken languages among patients. Diversity events can enhance awareness but are less effective than ongoing training in daily patient interactions and experiences. Relying solely on visual diagrams may simplify communication but it fails to address the depth of cultural differences in health beliefs and practices.

170.

To enhance nurse engagement, a nurse executive plans to recognize staff achievements. Which method is likely to be most effective?

  • Implementing a peer recognition program where staff nominate colleagues.

  • Recognizing staff during their annual performance reviews.

  • Offering bonuses for reaching certain performance metrics.

  • Posting an employee of the month on a bulletin board.

Correct answer: Implementing a peer recognition program where staff nominate colleagues.

Peer recognition programs foster a supportive community, allow for timely acknowledgment, and enhance morale and engagement.

Annual reviews may not provide timely recognition, which is essential for sustained engagement. Annual reviews also do not offer public recognition in most situations. Financial incentives can motivate, but may not enhance long-term engagement or address intrinsic motivation. While public recognition is valuable, an employee of the month program may not fully engage the broader staff or reflect team achievements as well as a staff-nominated recognition program would.

171.

In the wake of a mass casualty incident, what is the first priority for a nurse executive in the emergency department?

  • Activating the hospital's mass casualty incident plan.

  • Ensuring psychological support for staff and patients.

  • Adjust triaging processes to better handle high volumes.

  • Communicating with local media to provide updates and information.

Correct answer: Activating the hospital's mass casualty incident plan.

Activating the mass casualty incident plan is the first priority for a nurse executive to manage resources, staff, and patient flow effectively.

Psychological support is crucial from a long-term perspective but is secondary to immediate medical and organizational responses. Triage is a critical component of the response, but changes to the triage process should follow the activation of the mass casualty plan to ensure an organized approach. Communication with media is important for public information but it is not the immediate priority during the initial response phase.

172.

In an effort to improve end-of-life care quality, a nurse executive implements a new palliative care training program for nursing staff. Which outcome measure most directly assesses the program's impact on care quality?

  • Patient and family satisfaction scores with end-of-life care.

  • Length of survival following the initiation of palliative care.

  • Increase in utilization of palliative care services.

  • Reduction in hospital-wide medication errors.

Correct answer: Patient and family satisfaction scores with end-of-life care.

High satisfaction scores from patients and families directly reflect the perceived quality and effectiveness of end-of-life care, indicating successful training implementation.

Palliative care typically focuses on the quality of living in an end-of-life situation, not increasing the length of survival. Focusing on an increased length of survival does not represent the goal of palliative care. While increased utilization might suggest broader access, it does not directly assess care quality from the patient's perspective. Medication errors are a general measure of safety and do not specifically relate to the quality of palliative care training or its impact on end-of-life care.

173.

In the "Act" phase of the PDSA cycle being applied for decreasing patient falls in a geriatric unit, which action is most appropriate?

  • Adjusting fall prevention protocols based on the analysis.

  • Reviewing literature to identify effective fall prevention strategies.

  • Implementing bedside fall alarms for high-risk patients.

  • Analyzing the reduction in fall rates after implementing new interventions.

Correct answer: Adjusting fall prevention protocols based on the analysis.

The Plan-Do-Study-Act (PDSA) cycle is a systematic series of steps for gaining valuable learning and knowledge for the continual improvement of a process or product, involving planning the test or change, implementing it, observing and studying the results, and acting on what is learned to make further improvements. Making adjustments based on the findings of the “Study” phase is the essence of the "Act" phase.

A literature review is part of the "Plan" phase. Implementation of interventions is part of the "Do" phase. Analyzing an already-implemented fall prevention protocol would be part of the “Study” phase.

174.

Under the ADA, which statement is true regarding an employee's disclosure of their disability?

  • Employees can choose to disclose their disability at any time if they require accommodations.

  • Employees must disclose their disability during the job application process.

  • Employers can require medical documentation for all disabilities disclosed by employees.

  • Employers can share an employee’s disability status with all staff to ensure awareness.

Correct answer: Employees can choose to disclose their disability at any time if they require accommodations.

Employees are entitled to disclose their disability at their discretion if they seek accommodations.

The ADA does not require disclosure of disability during the job application process. While employers can request documentation for accommodations, this is not true for all disclosed disabilities. The ADA requires confidentiality regarding an employee’s disability status; information about the employee’s disability cannot be shared without their permission.

175.

A nurse executive is reviewing proposals for a new telehealth service for diabetes management. What feature should be prioritized to support patient self-management?

  • Integrated blood glucose monitoring and reporting.

  • Virtual reality experiences for patient education.

  • Gamification elements to encourage user engagement.

  • Availability of 24/7 chat support.

Correct answer: Integrated blood glucose monitoring and reporting.

The integration of blood glucose monitoring and reporting is crucial for effective diabetes management, enabling real-time adjustments and interventions based on accurate clinical data.

Virtual reality may enhance learning but it is not as directly impactful on daily diabetes management as blood glucose monitoring. Gamification can increase engagement but it does not directly contribute to diabetes management as much as integrated monitoring does. While 24/7 support is valuable, the direct integration of monitoring and reporting tools is more critical for self-management.

176.

Following an increase in patient falls in a rehabilitation unit, a nurse executive employs a root cause analysis to address the issue. Which action is most critical for uncovering the root causes of these falls?

  • Conducting interviews with staff members who were on duty during the falls.

  • Reviewing the physical layout of the rehabilitation unit for hazards.

  • Implementing mandatory fall prevention training for all rehabilitation staff.

  • Analyzing the health records of patients who fell to identify common factors.

Correct answer: Conducting interviews with staff members who were on duty during the falls.

Direct interviews with staff can provide insight into the circumstances leading up to each fall, offering critical data for identifying preventable factors and systemic issues.

While important, the physical layout review does not directly engage with the incidents' specific contexts. Training is a potential intervention but should be based on identified root causes. Patient record analysis is helpful but is not likely to provide the same quality of information that can be obtained from the insights gained from staff witness accounts.

177.

A nurse manager notices an ongoing dispute between two team members that has started to affect patient care. The dispute centers around disagreements about patient care priorities. What should be the nurse manager's first step in resolving this conflict?

  • Meet with both nurses together to discuss the issues and seek a mutual understanding.

  • Assign the two nurses to different shifts until the issue is resolved.

  • Implement a department-wide policy change addressing patient care priorities.

  • Notify the nurses they have a week to resolve the issue autonomously, then intervene if the issue persists.

Correct answer: Meet with both nurses together to discuss the issues and seek a mutual understanding.

Directly addressing the issue by facilitating open communication allows for mutual understanding and problem-solving.

Assigning the nurses to different shifts may temporarily avoid the conflict, but it does not resolve the underlying issue or promote team cohesion. A policy change might be necessary, but it should not be the first step without understanding the specific issues at hand. Delaying the potential resolution of a conflict affecting the quality of patient care is not an appropriate option.

178.

A nurse executive is considering the implementation of a telehealth program. Which factor is most crucial for ensuring its success?

  • Assessing the needs and preferences of the patient population.

  • The availability of technical support during office hours.

  • Training programs for patients on how to use telehealth services.

  • Securing partnerships with technology providers.

Correct answer: Assessing the needs and preferences of the patient population.

The success of a new telehealth program hinges on the program's relevance and responsiveness to the specific needs and preferences of the patient population.

Technical support is important, but understanding patient needs is more critical for program success. Patient training will be important but is secondary to ensuring the service meets patient needs. Partnerships with technology providers are important for implementation but not as crucial to the success of a new telehealth program as the alignment with patient needs.

179.

In evaluating the effectiveness of a leadership development program for nurse managers, which outcome would best indicate the program's success?

  • Improvement in patient care outcomes linked to leadership decisions.

  • Increase in the number of nurse managers from the facility attending national conferences.

  • Increase in the number of internal applications for leadership positions.

  • Reduction in the time spent on administrative tasks by nurse managers.

Correct answer: Improvement in patient care outcomes linked to leadership decisions.

Improved patient care outcomes as a result of effective leadership decisions directly reflect the success of a leadership development program.

Attendance at conferences may indicate engagement but does not directly measure the effectiveness of leadership development. An increase in applications for leadership positions may indicate interest in leadership but does not measure the effectiveness of current leaders' training. Reducing time on administrative tasks may improve efficiency but does not directly indicate improved leadership skills or their impact on care outcomes.

180.

After implementing a new electronic documentation system to improve charting accuracy, what should a nurse executive do next as part of the PDSA cycle?

  • Evaluate the system’s impact on charting errors and nurse satisfaction.

  • Plan a training session for staff who are struggling with the new system.

  • Develop a survey to assess patient satisfaction with care.

  • Gather suggestions for improving the documentation system.

Correct answer: Evaluate the system’s impact on charting errors and nurse satisfaction.

The Plan-Do-Study-Act (PDSA) cycle is a systematic series of steps for gaining valuable learning and knowledge for the continual improvement of a process or product, involving planning the test or change, implementing it, observing and studying the results, and acting on what is learned to make further improvements. Implementation is part of the “Do” phase, which is followed by the “Study” phase. Evaluation is part of the "Study" phase, where the effectiveness of the change is assessed.

Planning further training would be part of a subsequent PDSA cycle based on the findings from the "Study" phase. Patient satisfaction with care might be indirectly affected but it is not the direct focus of this PDSA cycle. Gathering suggestions would likely follow the "Study" phase, informing the next "Plan" phase.

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